EMS Physician Scene Response Program

Emergency physicians, on scene with Kennebec Valley EMS

MD3 of Maine is a nonprofit EMS physician response program. When local fire and EMS crews are caring for a critically ill or injured patient, they can request an emergency physician to join them on scene, bringing hospital-level skills, medications, and decision-making to the patient’s side.

An MD3 EMS physician preparing equipment at the back of an ambulance
  • Requested by public safetyDispatched at the request of responding fire and EMS agencies
  • No cost to patients or agenciesFunded by grants and community giving
  • 501(c)(3) public charityRecognized by the IRS as tax-exempt

Our mission

Bringing emergency medicine to the patient’s side

MD3 physicians respond alongside local EMS and fire crews to the region’s most complex and critical calls. They perform advanced procedures in the field, guide difficult medical decisions on scene, and partner with receiving hospital teams so care is seamless from the scene to the emergency department.

Every response is also a chance to teach and to learn. MD3 invests in the EMTs and paramedics who serve the Kennebec Valley every day, and in the emergency care system that supports them.

How a response works

  1. 1

    A 9-1-1 call comes in

    Dispatch sends local fire and EMS crews, just as it always does.

  2. 2

    The crew requests MD3

    When a patient needs physician-level care, the responding agency requests MD3 through its dispatch center.

  3. 3

    A physician joins the team

    An MD3 physician responds to the scene, works side by side with the crew, and coordinates with the receiving hospital.

MD3 is requested by public safety agencies only. If you are experiencing a medical emergency, call 9-1-1.

Our no-cost commitment

Physician-level care, never a bill

Every MD3 response and every training program is made possible by grants and community donations.

No bill for patients

Patients who receive assessment or care from an MD3 physician are never charged.

No bill for agencies

Public safety agencies that request an MD3 physician to a scene never receive a bill from MD3.

No-cost education

We offer continuing education to our EMS partners at no cost, sharpening skills and improving patient outcomes across the region.

Clinical capabilities

What an MD3 physician brings to the scene

MD3 physicians carry the training, equipment, and medications to perform interventions that would otherwise have to wait until the patient reaches a hospital.

Airway & breathing

  • Rapid sequence intubation (RSI)
  • Ventilator management
  • Chest tube placement

Point-of-care ultrasound

  • Portable ultrasound at the patient’s side
  • Rapid detection of internal bleeding
  • Real-time guidance for procedures

Hemorrhage & resuscitation

  • Blood transfusion
  • Pericardiocentesis
  • Emergency thoracotomy

Surgical procedures

  • Field amputation to free a trapped patient
  • Resuscitative hysterotomy
  • Wound repair

Critical care transport

  • Complex interfacility transports
  • Continuous critical care en route
  • Urinary catheter placement

Medical decisions on scene

  • Treat and release when a hospital visit isn’t needed
  • High-risk patient refusals
  • Additional sedation options for combative patients

MD3 also supports crews with

  • Mass casualty incidents
  • Firefighter rehabilitation
  • Hazardous materials (HazMat) incidents
  • Occupational exposures & injured providers
  • Clinical backup for ILS & BLS units

Our physicians

Meet our doctors

MD3 physicians deliver expert on-scene care for high-acuity and complex medical cases. Each practices emergency medicine in Maine, and our commitment to excellence is upheld through rigorous quality improvement, peer review, and continuous education.

Portrait of Dr. Timothy Pieh

Chief Medical Director

Timothy T. Pieh, MD

  • Board certified: Family Medicine & EMS
  • Practicing locally since 2003

Dr. Timothy Pieh is an emergency medicine physician who has served the Augusta and Waterville communities since 2003. Board certified in both Family Medicine and Emergency Medical Services, he also serves as an EMS medical director and focuses on disaster preparedness. His professional interests include medical education and point-of-care ultrasound.

Portrait of Dr. Taylor Klein

Taylor Klein, DO

EMS Physician

  • Board certified: Emergency Medicine
  • Fellow, Academy of Wilderness Medicine
  • Former Advanced EMT

Dr. Taylor Klein is a board-certified emergency medicine physician and a Fellow of the Academy of Wilderness Medicine. Her roots are in the field: she worked as an Advanced EMT before and throughout medical school. She earned her medical degree from Midwestern University, holds a master’s degree in Disaster & Emergency Management from Nova Southeastern University, and completed her emergency medicine residency at Conemaugh Memorial Medical Center. Dr. Klein serves as EMS Medical Director for the Augusta Fire Department, Plymouth Fire Department, Fairfield & Benton Fire & Rescue Services, and Oakland Fire Department in Maine.

Portrait of Dr. Raymond Wong Jr.

Raymond Wong Jr., DO

EMS Physician

  • Fellowship trained: Emergency Medicine
  • Wilderness Medical Society

Dr. Raymond Wong Jr. is a fellowship-trained emergency medicine physician serving patients in the Augusta and Waterville communities. A graduate of the University of New England College of Osteopathic Medicine, he completed his residency in Family Medicine at Meadville Medical Center in Pennsylvania. Dr. Wong has practiced locally since 2019 and is a member of the Wilderness Medical Society and the American Society of Addiction Medicine.

Portrait of Dr. Michael Mozer

Michael Mozer, DO

EMS Physician

  • EMS Fellowship, University of New Mexico
  • Fluent in English & Spanish

Dr. Michael Mozer is an emergency medicine physician serving the Augusta and Waterville communities. After residency, he completed a specialized fellowship in Emergency Medical Services at the University of New Mexico. A member of the Gold Humanism Honor Society, Dr. Mozer is committed to compassionate patient care and is fluent in both English and Spanish.

Portrait of Dr. Jonnathan Busko

Jonnathan Busko, MD

EMS Physician

  • Board certified: Emergency Medicine & EMS
  • Fellow, American College of Emergency Physicians

Dr. Jonnathan Busko is board certified in both Emergency Medicine and Emergency Medical Services. He is passionate about serving as a trusted interface between patients and the complex systems of modern healthcare. As a medical director, he focuses on identifying and addressing gaps in healthcare access, particularly for rural and frontier communities across Maine. Dr. Busko is a Fellow of the American College of Emergency Physicians, a lifetime member of the Wilderness Medical Society, and a member of the National Association of EMS Physicians.

Portrait of Dr. Kelly Meehan-Coussee

Kelly A. Meehan-Coussee, MD

EMS Physician

  • Board certified: Emergency Medicine & EMS
  • EMS Fellowship, Brown University
  • Former paramedic

Dr. Kelly Meehan-Coussee is fellowship-trained and board certified in both Emergency Medicine and Emergency Medical Services, with a career that began as a paramedic long before medical school. After residency at Maine Medical Center and an EMS fellowship at Brown University, she has become a leader in Maine’s medical community. Her work spans clinical leadership, state-level policy, and education, including roles as an Associate ED Medical Director, the Maine ACEP Representative to the state EMS board, and Associate Medical Director for Southern Maine Community College’s EMS program.

Portrait of Dr. John Cooper

John M. Cooper III, DO

EMS Physician

  • Fellowship trained: Emergency Medicine
  • Practicing locally since 2021

Dr. John Cooper is an emergency medicine physician practicing in the Augusta and Waterville communities. He earned his medical degree from the University of New England and completed his initial residency training in Family Medicine, followed by a fellowship in Emergency Medicine. Dr. Cooper has practiced locally since 2021.

Program goals

More than a response

MD3 is built around three goals that strengthen emergency care across the Kennebec Valley.

An MD3 instructor teaching EMS providers in a fire station training room

Teaching and learning

We offer formal continuing education courses along with real-time feedback on scene and after calls. The learning goes both ways: our physicians gain from the expertise and real-world experience of our fire and EMS partners, building mutual respect and system-wide improvement.

EMS education & training

Medical equipment and response bags packed inside the MD3 response vehicle

Enhanced patient care

MD3 physicians bring experience, specialized tools, and medications to complicated situations, from high-risk refusals and combative patients to mass casualty events, HazMat incidents, and critical care transports.

An MD3 physician in high-visibility gear beside the MD3 response vehicle outside a hospital

EMS system support

We are committed to strengthening how the regional emergency care system is designed and how it performs, providing direct feedback to our partner agencies, EMS leadership, and receiving hospitals.

Field-ready standards

Trained for the realities of the field

All MD3 physicians work in emergency departments at hospitals across Maine, and each has received specialty training to function as an EMS physician in the field. Many are board certified in EMS or bring extensive experience as prehospital providers, from EMT to paramedic.

In addition to being credentialed to practice emergency medicine, every responding physician holds the following training or its equivalent.

  • Certified Emergency Vehicle Operator (CEVO)
  • Traffic Incident Management & Responder Safety (TIM)
  • Vehicle Extrication Awareness
  • Incident Command System (ICS)
  • Tactical Medicine Fundamentals
  • Emergency Radio Operations
  • Fireground Awareness
  • Advanced Cardiovascular Life Support (ACLS)
  • Advanced Trauma Life Support (ATLS)
  • Pediatric Advanced Life Support (PALS)
  • Neonatal Resuscitation Program (NRP)

FAQ

Frequently asked questions

Can’t find what you’re looking for? Contact us and we’ll be glad to help.

When does MD3 operate?

MD3’s operational goal is to provide coverage Monday through Friday, from 9:00 AM to 5:00 PM. Actual availability during these hours can vary based on staffing.

We continually analyze community needs to align our coverage with peak demand, and our long-term goal is to expand into evenings and weekends as the organization grows. That expansion is only possible through the generosity of our community. Make a donation to help us get there.

Does MD3 charge for its services?

No. There is no charge for MD3’s services. We never send a bill to patients, and we never bill the public safety agencies that request our assistance on scene.

Our ability to provide this care at no cost is powered by grants and by the generosity of our community. That funding equips our physicians and keeps them ready to respond.

Can a patient or member of the public request MD3?

No. MD3 cannot be requested directly by patients or the general public. We are a specialized medical resource that works within the existing 9-1-1 system to support public safety personnel on scene.

If you are experiencing a medical emergency, call 9-1-1 immediately. The dispatcher will send the appropriate help, such as an ambulance or fire department. If the responding crew determines that physician-level support is needed, they will request MD3.

How do public safety agencies request MD3?

Any area EMS or fire agency can request an MD3 physician through its dispatch center or by calling 207-861-4244.

This line is for public safety agencies only. Members of the public should always call 9-1-1.

Is MD3 a 501(c)(3) nonprofit?

Yes. MD3 of Maine, Inc. has received a determination letter from the Internal Revenue Service recognizing it as a tax-exempt public charity under Section 501(c)(3) of the Internal Revenue Code. Our federal tax identification number (EIN) is 39-4074782.

You can confirm our status with the IRS Tax Exempt Organization Search. A copy of our determination letter is available on request at contact@MD3Maine.com.

What does MD3’s 501(c)(3) status mean for donors?
  • Tax-deductible gifts. Contributions to MD3 are tax-deductible to the extent allowed by law. Whether, and how much, you can deduct depends on your individual tax situation.
  • Gifts made while our application was pending. IRS recognition applies to contributions made on or after the effective date of exemption stated in our determination letter. If you gave before our letter was issued, contact us and we will gladly share a copy for your records.
  • Donor-advised funds, foundations, and matching gifts. As a 501(c)(3) public charity, MD3 is eligible to receive grants from donor-advised funds and private foundations, as well as gifts through many employer matching programs.
  • Receipts. Every online gift generates an emailed receipt. Unless we tell you otherwise, such as for a ticketed event, no goods or services are provided in exchange for your donation.
How do I get a receipt for my tax records?

A receipt is emailed automatically for every online donation. If you have a donor account, you can view and download a yearly giving summary on our Annual Receipts page. Need another copy, or gave by check? Email contact@MD3Maine.com and we will send one.

Please keep your receipts with your tax records. The IRS requires a written acknowledgment from the charity to deduct any single contribution of $250 or more.

Tax disclaimer: MD3 does not provide tax, legal, or accounting advice. The information on this page is provided for general informational purposes only and should not be relied on as tax, legal, or accounting advice. Because individual situations vary, please consult a qualified tax professional about the deductibility of your gift.

Support MD3

Help keep a physician on scene

Every response, every training hour, and every piece of equipment is funded by grants and by people who give. Your gift helps bring physician-level care to the Kennebec Valley at no cost to patients or agencies.

MD3 of Maine, Inc. is a 501(c)(3) public charity (EIN 39-4074782). Contributions are tax-deductible to the extent allowed by law.